• 제목/요약/키워드: difficulties in daily

검색결과 244건 처리시간 0.029초

내적모형과 대응자원을 이용한 만성관절염 환자의 적극적 대응전략모형 (Active Coping Strategy Model for Chronic Arthritis : Appling Internal Model of World and Coping Resource)

  • 문미숙;임난영
    • 근관절건강학회지
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    • 제6권1호
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    • pp.100-135
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    • 1999
  • Typical symptoms of rheumatic disease affect overall daily living and cause severe stress. Individuals afflicted with rheumatic disease have many illness-related stresses. Pain was the predominantly perceived stress followed by limitation in mobility, difficulties in carrying out activities of daily living. helplessness, dependency on others, threat to self-esteem, interference in social activity, interference in family relationships. difficulties performing at work, and discomfort of the treatment. Patients with chronic arthritis are subjected to long periods of continuous stress, which may require the management by the health care provider. In these cases, the purpose of the nursing is helping to promote health through supporting patient's coping. Therefore, for the nursing intervention to be effective, it is critical to build a theoretical framework that describes stress-coping for chronic arthritis. Thus, the purpose of this dissertation is to present a theoretical framework which describes the stress-coping processes and to empirically test pathos of this framework for the people with chronic arthritis. The foundation upon which this framework is built in the Erickson, Tomlin, and Swain(1983) theory of Modeling and role-Modeling. The subjects were 275 patients with rheumatoid arthritis or osteoarthritis who visited the outpatient clinic. A hypothetical model of stress-coping was tested by covariance structure analysis with PC-LISREL 8.12 program. As a result, the overall fit was good(Chi-square=94.49, P=0.00, RMR=0.067, GFI=0.95, AGFI=0.91, NNFI=0.93, NFI=0.91) for the hypothetical model. The results of hypothesis testing were as follows : Basic need satisfaction had a statistically significant influence on illness-related experience, emotional stress and coping resources. Internal health locus of control had a statistically significant influence on coping resources. However, independent variables(basic need satisfaction, internal health locus of control, illness-related experience, emotional stress and coping resource) did not have significantly influence on coping. And then, the hypothetical model was modified by considering both the theoretical implication and statistical significance of the parameter estimates. The revised model had a better fit to the data(Chi-square=83.11(P=0.00), RMR=0.061, GFI=0.96, AGFI=0.92, NNFI=0.95, NFI=0.92). Hypothesis emerged from the revised model was tested. The results of hypothesis testing were as follows : Basic need satisfaction had a statistically significant influence on illness-related experience, emotional stress and coping resources. Internal health locus of control had a statistically significant influence on illness-related experience and coping resources. Internal health locus of control, illness-related experience, emotional stress and coping resources had a significantly influence on coping. According to the results of this dissertation, basic need satisfaction and internal health locus of control play a central role in appraisal of illness-related experience and coping resources. And illness related-experience, emotional stress, and coping resources affect on coping activities. In summary, nursing interventions to enhance basic need satisfaction and internal health locus of control will decrease illness related experience and emotional stress and increase coping resources. Increased coping resources will prompt coping activities.

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The Effect of Acute Respiratory Disease Infectious Diseases on the Life Change of People with Developmental Disabilities and Their Families

  • JungHyun Kim
    • International Journal of Advanced Culture Technology
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    • 제12권1호
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    • pp.43-50
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    • 2024
  • Patients with acute respiratory diseases, such as Middle East Respiratory Syndrome (MERS) due to COVID-19, must wear masks, protective clothing, face shields, and gloves to prevent infection during treatment and performance. Even if it is applied to disabled people, families who protect them are severely mentally tired from severe physical fatigue and stress from exposure to high-risk infectious diseases. As such, the spread of infectious diseases such as respiratory diseases has not only caused difficulties in using existing welfare and medical services but also caused various problems throughout the daily life of disabled people due to the prolonged infectious disease, and its scope is gradually expanding. Therefore, it should not be overlooked that disabled people may experience various difficulties, from the spread of infectious diseases such as respiratory diseases to isolation, diagnosis, and treatment, and it is time to actively assess the life changes felt by families caring for disabled people and consider and research to provide adequate services. According to the survey of disabled people is being conducted in the context of the spread of infectious diseases such as respiratory diseases, while research on the spread of infectious diseases such as respiratory diseases is rare for parents with disabilities. There is a need for additional investigation into the characteristics in other areas of everyday life, including the health field, which is deteriorating through prior research. Therefore, through this survey, the purpose of this study is to investigate the life changes of parents with disabilities in the context of the spread of infectious diseases such as respiratory diseases and to compare and analyze them to find out how parents were affected by each type of disability. It will be used as evidence to identify more necessary needs and problems for parents with disabilities in the spread of infectious diseases such as respiratory diseases and to provide more appropriate health care and welfare services in the future.

경기지역 노인의 건강과 식생활관리 II - 75세 미만의 젊은 노인과 75세 이상 고령 노인 비교 - (The Elderly Health and Dietary Management in Gyeonggi Province II - Comparison with Younger Old and Older Old -)

  • 이승교;최미용;원향례
    • 한국지역사회생활과학회지
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    • 제17권1호
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    • pp.141-154
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    • 2006
  • The purpose of this study is to provide the information of the aged olds for which basic data are almost no available. The subjects were divided on the base of age 75. The elderly under 75 were named 'the young olds' and over 75 were 'the aged olds'. The aim of this research is to promote health and to improve nutrition, and the survey was made for health promotion behaviors, habits against health risk, dietary management status and diet intake. And it was conducted by 24 hr-recall method and analyzed by nutrients intake. 242 subjects were collected in 12 cities or counties in Gyeonggi Province and 20 elderly people (10 male and 10 female) were selected out of 1 village in each district. Questionnaire about health behavior and dietary management was carried out by interview method through regional home extension workers. Statistical analyses were made by SAS (version 8.1) and Chi-square tests and General Linear Models were used. Out of the subjects the aged olds over 75 was 31.9%, elementary school educated (93.5%), with spouse (40.3%), with adult children(28.6%), monthly living cost of 500-1,000 thousand won(40.3%). Mean age was 78.82 years compared with 69.75 years of the young olds. 46.8% of the aged olds used monthly pocket money over 1000 won and it was lower than 63.3% of the young olds. Only half of the aged olds had regular exercise of walking (77.8%) or with athletic equipment (17.8%). However, the young olds did more frequent walking (82.1 %) and less exercise with athletic equipment (4.8 %), which was significantly different. Kinds of disease were different with the young or the aged olds, as more proportion of cardiovascular disease(37.9%) for the young olds and joint lumbago neuralgia(41.6%) for the aged olds. Dietary management was good (3 meals per day: 93.4%, fixed mealtime: 72.4%, and regular amount: 79.9%). But there was significant difference in side dish varieties and kinds of snacks; for the aged olds only 8% had over 5 sorts (compared with 18.8% of the young olds) and the kinds of snacks were cookie, candy, juice, carbonated beverage for the aged olds (compared with noodle, milk, soybean-milk for young olds). The ratio of nutrients intake (energy, riboflavin and niacin) with RDA was significantly higher for the aged olds than that of the young olds. The surveyed subjects had no difficulties in Activities of Daily Living (ADL), but some of the aged olds had difficulties in Instrumental Activities of Daily Living (IADL) like housekeeping, using transportation, going shopping and making phone calls. These results suggest that low quality of life is linked with low economic status of the rural elderly and congregate meal at village hall would be required because of the lack of side dishes variety for the aged olds. And nutrition education program about good snacks and exercise practice would be needed for the aged olds. By operating nutrition education program the aged olds would enjoy better quality life maintaining or ameliorating IADL abilities.

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지적장애학생의 취업 및 고용 유지를 위한 주요기술 관련 특수교사 인식 (The Special School Teachers' Perception of the Significant Skills Required by Students with Intellectual Disabilities for Gaining and Maintaining Employment)

  • 박영근;조인수
    • 재활복지
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    • 제17권4호
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    • pp.245-265
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    • 2013
  • 본 연구는 지적장애 학생들의 취업 및 고용 유지를 위하여 필요한 기술들에 관한 지적장애 특수학교 교사들의 인식을 알아보기 위하여 설문조사와 심층면담을 실시하였다. 먼저 지적장애아교육 교사들을 대상으로 취업 및 고용유지를 위한 일상생활기술, 개인-사회적기술, 직업기술에 관한 인식을 알아보기 위한 설문조사를 실시하고, 양적 연구의 한계를 보완하기 위하여, 지적장애 학생들의 성공적인 취업 및 고용을 유지하기 위한 기술과 관련하여 심층 면담을 실시하였다. 연구의 결과에 따르면, 지적장애 학생들이 직업을 가지는 것이 성공적인 성인생활을 유지하기 위해 중요하다고 인식하고 있음에도 불구하고, 많은 지적장애학생들이 고용을 지속적으로 유지하지 못하는 경우가 많은 것으로 나타났다. 이는 지적장애학생들의 취업 후 지속적인 고용 유지를 방해하는 많은 요인들이 있기 때문이다. 양적연구의 결과에 따르면, 취업 및 고용을 유지하기 위해서는 일상생활기술, 직업기술, 개인-사회적 기술이 모두 중요하지만, 학생들의 개인-사회적기술이 무엇보다 중요하다고 인식하고 있었으며, 이를 위한 교육에 많은 노력을 기울이는 것으로 나타났다. 질적 연구의 결과에서도, 지적장애를 가진 학생들이 성공적으로 취업을 하고, 고용을 지속적으로 유지하기 위해서는 직업 기술보다는 학생들의 성실성, 착한 인성, 사회성기술, 지시따르기 등의 태도 등이 더욱 중요하다고 인식하고 있고, 이를 교수하기 위해 노력하는 것으로 나타났다.

장애인 건강검진 접근성 저해요인과 개선방안 도출에 대한 질적 연구 (Accessibility Factors to Health Check-Ups for People with Disability: A Qualitative Study)

  • 홍혜수;임명준;김외숙;최은숙;김정환
    • 보건행정학회지
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    • 제30권3호
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    • pp.335-344
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    • 2020
  • Background: The purpose of this study was to identify factors inhibiting access of people with disability to health check-ups as well as identify pertinent solutions for improvement. Methods: Twenty-three people with disability older than the age of 19 who took respective health check-ups within the last 3 years were selected as participants. For the data collection, the 1:1 intensive interview was used. The data were analyzed by the grounded theory by Corbin and Strauss. Results: The results comprised nine categories, 23 subcategories, and 179 concepts. The central phenomenon was 'failure to obtain check-ups.' Causal conditions were observed as a 'lack of communication method,' 'physical difficulties,' and 'staff unfamiliar with people with disability,' Interventional conditions comprised 'physical accessibility,' 'staffs' competency,' and 'assistant manpower.' The active strategy was included 'to investigate the professional medical institution,' 'to find the medical institution of convenient traffic accessibility,' 'to overcome communication difficulties through equipment,' and 'to overcome linguistic barriers through sufficient communication.' Whereas, 'utilization of ancillary equipment,' 'the education of staffs on people with disability,' 'universal design manual,' and 'customized check-ups' were included in the passive strategy. Such processes arose in the contextual conditions of 'lack of expectations for daily lives' and 'lack of government support.' As a consequence, the subjects participated experienced the 'disadvantages,' 'discrimination,' and 'reduced reliability of the health check-ups.' Conclusion: The subjects who participated in this study emphasized 'staffs familiar with people with disability' and 'systems customized for people with disability' are mandatory to secure complete health check-ups for people with disability.

웨어러블 기능성 스마트 패션제품 개발 연구 - 특정사용자를 위한 특수한 기능성 구현을 중심으로 - (A Study on the Development of Wearable Smart Fashion Product - Focused on the Construction of Optimized Functionalities for Particular Needs -)

  • 이현승;이재정
    • 한국의류산업학회지
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    • 제21권2호
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    • pp.133-140
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    • 2019
  • This study developed smart fashion prototypes that provide utilitarian functionality by combining Fashion and Electronics regarding the IT focused convergence tendency in modern industries. A convergence R&D workshop was performed by Fashion design majors and Engineering majors for the study. As a result, 5 functional smart fashion prototypes were developed and the outline of each prototype are as follows. The $1^{st}$ prototype, 'Hidden Camera Detecting Coat' focused on gender-related crimes. The coat uses infrared lighting and LED technologies to provide a function to detect hidden cameras in suspicious public spaces such as toilets. The $2^{nd}$ prototype, 'Heating-massage Suit' targeted patients with musculoskeletal system difficulties. The suit uses heating and vibration technologies to provide a heating massage treatment for patients with ongoing difficulties in their daily lives. The $3^{rd}$ prototype is an air-bag jacket to prevent sexual molestation on public transportation. The jacket extends its volume through pressure sensing, air compressing, motors and 3D-printing technology to secure the wearer's personal preventive space between the user's body and others. The $4^{th}$ prototype is a town wear for people suffering from synesthesia. People with synesthesia inadvertently see colors when exposed to certain sounds. This town wear uses sound sensing, air compressing, motors and 3D-printing technology to provide sound prevention and a comfortable sound playing function. The $5^{th}$ prototype is a set of a vest and a gloves for visually impaired people. The vest and gloves uses DMS, voice playing, vibration technology to provide distance measuring and warning functions.

Comparison of growth performance, blood metabolites, testosterone, and carcass characteristics according to complete and hemi-castration in Hanwoo

  • Ahn, Jun Sang;Jang, Sun Sik;Kim, Ui Hyung;Hwang, So Mi;Won, Jeong Il;Ji, Hee Chung;Jin, Shil;Park, Byung Ki;Kwon, Eung Gi
    • 농업과학연구
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    • 제48권3호
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    • pp.387-396
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    • 2021
  • This study was conducted to provide basic data for efficient Hanwoo beef production by conducting a comparison of growth performance, blood metabolites, testosterone, and carcass characteristics of Hanwoo according to complete and hemi-castration. Twelve Hanwoo calves were allotted to two treatment groups as follows: CC = complete-castration and HC = hemi-castration method of removing only one testicle. At the end of the test, the body weight was 66 kg higher in HC than in CC, and the average daily gain increased by 12.6% (p < 0.05). The feed conversion ratio was significantly improved in HC compared to CC (p < 0.05). Serum cholesterol and triglyceride concentrations were significantly higher in CC than HC in both the growing and fattening periods (p < 0.05), and serum testosterone concentrations before castration were similar between HC and CC, but steadily increasing in HC after castration. Back fat thickness and marbling score were significantly higher in CC than HC in the entire period (p < 0.01). In the results of this study, hemi-castration can improve body weight gain and feed conversion ratio due to the influence of male hormones compared to complete castration, but it is considered that there will be difficulties in producing high-quality meat with a high marbling score.

초등학생의 비례적 추론 지도에 관한 연구 (A Study on the Proportional Reasoning Instruction for Elementary School Children)

  • 김경선;박영희
    • 대한수학교육학회지:학교수학
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    • 제9권4호
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    • pp.447-466
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    • 2007
  • 본 연구에서는 학생들이 비례적 추론 문제에서 어떠한 어려움을 겪고 있는지, 어떠한 문제해결전략을 사용하는지를 구체적으로 살펴보고, 현행 교과서의 문제점은 무엇인지 등을 조사하여 이를 바탕으로 6-가 단계 '비례식' 단원에 관한 지도 프로그램을 개발하여 학생들의 비례적 추론에 대한 개념변화를 알아보고자 하였다. 먼저 학생들 대상의 검사지를 분석해 본 결과, 학생들은 비례적 상황 문제에서 취약함을 보였다. 이에 따라 연구자가 제작한 프로그램을 초등학교 6학년 학생들에게 적용해보고 상중하 수준에 따른 학생들의 변화를 알아보았다. 또한 실험반과 비교반의 학생들의 상중하 수준에 따른 비례추론의 특성을 비교하였다.

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고령자에 적합한 가공식품 마개의 Torque에 관한 연구 (A study on the Acceptable Cap Torque for Processed Food Containers)

  • 신승헌;손병창
    • 대한인간공학회지
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    • 제20권2호
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    • pp.83-97
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    • 2001
  • Korea has become an aged society according to the UN specifications. The number of the aged population will increase drastically, and the number of single aged people will also increase. Products used in our daily life are manufactured within the normal capabilities of people. Thus, aged people have encountering problems in using them. Numerous products are used in our daily lives. The purpose of this study is to find the acceptable torque for aged people to open the caps of processed food containers. Depending on the size and shape of the opening hand, hand operation has been classified into three categories. A total of one hundred and nine people participated in this study. Fifty nine people in the 20-30 year old range and fifty people in their 60-70's. Results of the study are as follows: 1) For all categories the acceptable cap torque data for the aged people are established. To satisfy 95% of the aged people, it was found that $74N{\cdot}cm$ for type A caps, and $141N{\cdot}cm$ for B type caps. and $214N{\cdot}cm$ for type C were the acceptable torque levels. 2) The appropriate level of torque for opening the cap was found to be 70% of the maximum torque for the aged people.(71.4% for type A. 71.4% for type B. 72.2% for type C). 3) Capabilities of the 70's drops sharply in function related to opening cap (maximum torque, gripping force, and wrist movement range). 4) Among aged subjects, 65.0% for type A, 42.0% for type B, and 68.8% for type C, had difficulties in opening the container caps.

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Impact of Masticatory Discomfort on Daily Living Difficulties in Korean Elderly with Cognitive Decline

  • Kyung-Yi Do;Chun-Bae Kim;Yeon-Soon Ahn
    • 치위생과학회지
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    • 제23권2호
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    • pp.142-153
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    • 2023
  • Background: Cognitive impairment has been reported to be closely associated with poor oral health, and the relationship is bidirectional, as older adults with poor oral health and chewing function are at a higher risk of cognitive decline (CD). This cross-sectional study aimed to determine whether masticatory discomfort in Korean elderly increases the risk of daily living difficulty (DLD) related to CD and whether there is a difference in risk according to gender and age. Methods: The data used were obtained from the Korean Community Health Survey (2019). The final analysis included 22,154 people aged 65 years and older who completed the survey and responded to all items on the variables used in the study. Chi-square test, trend test, and complex sample logistic regression were performed for statistical analysis, to clarify the purpose of this study. Results: As masticatory discomfort increased, the elderly's DLD tended to increase (p-for trend, p<0.001). For logistic regression, adjusting for all covariates, participants who reported masticatory discomfort as "discomfort" (adjusted odds ratio [AOR]=2.45, 95% confidence interval [CI]=2.11~3.50) and "severe discomfort" (AOR=2.95, 95% CI=2.49~3.50) had a more than a two-fold increased risk of CD-related DLD compared to participants who reported "no discomfort at all." In age-stratified analyses, elderly men aged 75~84 years and elderly women aged 65~74 years had the highest risk of developing CD-related DLD. Conclusion: Oral care interventions to improve masticatory function in older adults may slow CD and improve CD-related DLD. We hope that this study will raise awareness among caregivers and clinical professionals regarding the importance of oral care for older adults with CD.